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目的 :总结用改良无蒂胸骨翻转术治疗小儿重度漏斗胸的经验。方法 :用改良无蒂胸骨翻转术治疗小儿重度漏斗胸 6例 ,术中保留骨膜、肋间肌和血管并缝于游离翻转骨瓣上以供血运 ,肋软骨的残端与上一根肋骨的胸骨端作重叠缝合 ,以增加胸廓前后径。结果 :术后胸廓基本恢复正常形态 ,精神状态良好 ,心肺功能恢复 ,无并发症。结论 :改良无蒂胸骨翻转术治疗小儿重度漏斗胸效果良好。
Objective: To summarize the experience of treating pediatric severe funnel chest with modified pedicle sternotomy. Methods: Six cases of pediatric severe funnel chest were treated with modified pedicle sternotomy. The periosteum, intercostal muscles and blood vessels were reserved during operation. The stumps were sewn on the free inverted flap for blood supply. The stump of costal cartilage and the previous rib Sternal end for overlapping suture to increase thoracic anteroposterior diameter. Results: After operation, the thorax returned to normal form, with good mental status, cardiopulmonary function recovery and no complications. Conclusion: Modified pedicle sternotomy for pediatric severe funnel chest has a good effect.